意大利对REMS的评价和卓越 (ITAL-EE-REMS):将法医患者适当地安置在REMS法医设施中
Lia Parente1,2,3, Fulvio Carabellese4, Alan Felthous5
1Section of Criminology and Forensic Psychiatry, Department of Internal Medicine, University of Bari Aldo Moro, Policlinico Universitario, P.Za G. Cesare, 70124, Bari, Italy.
International journal of mental health systems
|November 3, 2024
概括
在意大利,大多数精神障碍犯罪者都得到了适当的安置,但很少有百分比需要比目前可用的更高的安全. 使用像DUNDRUM工具包这样的标准化评估可以改善法医心理健康护理结果和安全性.
科学领域:
- 法医精神病学 法医精神病学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 评估意大利目前对精神障碍罪犯的安置的适当性.
- 调查与法庭命令的安置 (REMS或法医社区住所) 与标准化的评估相匹配的潜在缺陷.
研究的目的:
- 评估目前意大利对精神障碍罪犯的治疗安全安置的准确性.
- 使用DUNDRUM工具包将法庭判决与标准化评估进行比较.
主要方法:
- 将DUNDRUM工具包翻译成意大利语,证实了良好的心理测量特性.
- 将DUNDRUM-1 (分离安全性) 与DUNDRUM-3 (治疗进展) 和DUNDRUM-4 (法医恢复) 进行比较,以确定最安全的电流位置.
- 使用了对治疗安全需求的更保守的评估.
主要成果:
- 意大利DUNDRUM工具包表现出良好的内部一致性.
- 3.7%的中等安全 (REMS) 个人需要高安全性;38%的人准备好接受不那么安全的设置.
- 在低安全设置中,56%的人需要更高的安全性;6%的人可以搬到不安全的地方.
结论:
- 意大利的DUNDRUM工具集有效地评估了法医精神病学护理模式的2015年后改革.
- 虽然大多数患者被安置在安全的地方,但极少数患者需要目前无法获得的高安全设施.
- 越来越多地使用这些评估工具可以提高患者的治疗结果和公共安全.
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